| 摘要: |
| 目的 分析上海市杨浦区居民因伤害死亡情况及其死亡特征和潜在减寿年数（PYLL），为制定伤害干预策略提供依据。方法 收集2002－2020年上海市杨浦区居民伤害死因登记资料，应用Excel 2010、SPSS 21.0软件对数据信息整理分析，死亡率时间变化趋势采用Joinpoint线性回归分析，标化采用1985年Segi’s世界标准人口。结果 2002－2020年上海市杨浦区累计报告伤害死亡6 377例，年均粗死亡率为31.03/10万，年均标化死亡率为15.00/10万，伤害粗死亡率男女差异无统计学意义（Z＝0.845，P＞0.05），而男性标化死亡率高于女性（Z＝2.171，P＜0.05）。伤害粗死亡率（平均年度变化百分比为－2.0，P＜0.01）及标化死亡率（年度变化百分比为－4.4，P＜0.01）整体均呈下降趋势。伤害死亡原因中居前5位死因依次为意外跌落、其他意外事故和有害效应、机动车辆交通事故、自杀及意外中毒，合计占伤害死亡总数的89.85%（5 730/6 377）。伤害死亡率随年龄增长而逐渐上升，0～14岁年龄组的死亡率最低（4.12/10万），≥65岁年龄组的死亡率最高（110.00/10万）。PYLL的前5位伤害类型为自杀、机动车辆交通事故、意外跌落、意外中毒及溺水，共计46 325人年，占总PYLL的80.12%。结论 伤害是影响上海市杨浦区居民健康和寿命的重要公共卫生问题之一，应根据不同人群的伤害类型采取不同的干预措施，有效降低因伤害而造成的损失。 |
| 关键词: 伤害 死亡率 死亡原因 潜在减寿年数 |
| DOI：10.16781/j.CN31-2187/R.20210669 |
| 投稿时间：2021-07-05修订日期：2021-11-03 |
| 基金项目:上海市杨浦区卫健系统"好医师"建设工程项目,上海市杨浦区卫生健康委员会重点学科项目B类(YP19ZB11). |
|
| Epidemiological characteristics of injury deaths and potential years of life lost in Yangpu District of Shanghai from 2002 to 2020 |
| DAI Yin1,LI Hui1,ZHAO Jia1,DING Yi-bo2,HAN Xue1,YIN Jian-hua2* |
(1. Yangpu District Center for Disease Control and Prevention, Shanghai 200090, China;
2. Department of Navy Epidemiology, Faculty of Naval Medicine, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To analyze the epidemiological characteristics of injury deaths and potential years of life lost (PYLL) of residents in Yangpu District of Shanghai, so as to provide reference for developing injury intervention strategies.Methods The causes of injury deaths of residents in Yangpu District of Shanghai from 2002 to 2020 were collected. Excel 2010 and SPSS 21.0 were used to sort out and analyze the data, and Joinpoint linear regression was used to analyze the mortality trend. The mortality was standardized by utilizing the Segi’s world standard population age composition in 1985.Results A total of 6 377 cases of injury deaths were reported in Yangpu District of Shanghai from 2002 to 2020, with an average annual crude mortality rate of 31.03/100 000 and an average annual standardized mortality rate of 15.00/100 000. There was no significant difference between males and females in crude mortality rate of injury (Z＝0.845, P＞0.05), while the standardized mortality rate was significantly higher in males than in females (Z＝2.171, P＜0.05). The crude mortality rate (average annual percent change＝－2.0, P＜0.01) and standardized mortality rate (annual percent change＝－4.4, P＜0.01) showed a downward trend. The top 5 causes of injury deaths, which accounting for 89.85% (5 730/6 377) of the total injury deaths, were accidental fall, other accidents and harmful effects, motor vehicle traffic accidents, suicide and accidental poisoning, respectively. The mortality rate of injury increased gradually with the age. The mortality rate of the age group between 0 and 14 years old was the lowest (4.12/100 000), and the mortality rate of the age group 65 years old and over was the highest (110.00/100 000). The top 5 injury types in PYLL with a total of 46 325 person years were suicide, motor vehicle traffic accident, accidental fall, accidental poisoning and drowning, respectively, accounting for 80.12% of total PYLL.Conclusion Injury is one of the most important public health problems affecting the health and life span of residents in Yangpu District of Shanghai. Personalized intervention measures should be taken according to the injury types for different population to effectively reduce the losses caused by injury. |
| Key words: injuries mortality cause of death potential years of life lost |
